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Impact of structural and organizational reforms on resident physicians’ daily work

Impact of structural and organizational reforms on residents’ daily work

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ISRCTN
Registry ID
ISRCTN69703381
Enrollment
35
Registered
2018-04-24
Start date
2018-05-01
Completion date
Unknown
Last updated
2026-05-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Organization of healthcare and and physicians' work in a hospital setting. Other

Interventions

Organizational and structural reforms, including task delegation to non-medical professionals, reorganization of the workday’s schedule, and implementation of an early morning interprofessional decisi

Sponsors

Department of medicine
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. All residents registered in the internal medicine department at CHUV during the study, having graduated from a medical school, and with informed consent

Exclusion criteria

Exclusion criteria: Inclusion criteria not met

Design outcomes

Primary

MeasureTime frame
Time spent for administrative tasks (primary outcome), assessed by time-motion study with observation of residents’ activities during shifts, by observers using a dedicated tablet application

Secondary

MeasureTime frame
1. Amount of task switching per hour 2. Mismatch between observed activities compared to the departmental work schedule 3. Effective duration of observed shifts 4. Time spent in presence of a patient

Countries

Switzerland

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: May 16, 2026